Cooper Workplace Safety and Security Survey

Question Title

* 1. How likely are you to recommend this organization as a safe place to work to a friend or colleague?

0 - Not at all likely

10 - Extremely likely

Clear

i We adjusted the number you entered based on the slider’s scale.

Question Title

* 2. How concerned are you about the threat of violence at your workplace?

0 - Not at all likely

10 - Extremely likely

Clear

i We adjusted the number you entered based on the slider’s scale.

Question Title

* 3. When you feel unsafe at work, how sure are you that you will get help when you need it?

N/A

Not at all Sure

Somewhat Unsure

Somewhat Sure

Very Sure

N/A

Not at all Sure

Somewhat Unsure

Somewhat Sure

Very Sure

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* 4. What is the extent to which you agree with each statement?

	Strongly Disagree	Somewhat Disagree	Neutral	Somewhat Agree	Strongly Agree
Staff safety is a consideration for my decision to work at Cooper.	Staff safety is a consideration for my decision to work at Cooper. Strongly Disagree	Staff safety is a consideration for my decision to work at Cooper. Somewhat Disagree	Staff safety is a consideration for my decision to work at Cooper. Neutral	Staff safety is a consideration for my decision to work at Cooper. Somewhat Agree	Staff safety is a consideration for my decision to work at Cooper. Strongly Agree
Cooper is actively doing things to improve staff safety.	Cooper is actively doing things to improve staff safety. Strongly Disagree	Cooper is actively doing things to improve staff safety. Somewhat Disagree	Cooper is actively doing things to improve staff safety. Neutral	Cooper is actively doing things to improve staff safety. Somewhat Agree	Cooper is actively doing things to improve staff safety. Strongly Agree

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* 5. How often have you witnessed or personally experienced violence at your workplace?

	Daily	Weekly	Monthly	A few Times a Year	Once a Year	Never
PHYSICAL - violence, harassment, intimidation	PHYSICAL - violence, harassment, intimidation Daily	PHYSICAL - violence, harassment, intimidation Weekly	PHYSICAL - violence, harassment, intimidation Monthly	PHYSICAL - violence, harassment, intimidation A few Times a Year	PHYSICAL - violence, harassment, intimidation Once a Year	PHYSICAL - violence, harassment, intimidation Never
VERBAL - threats or abuse	VERBAL - threats or abuse Daily	VERBAL - threats or abuse Weekly	VERBAL - threats or abuse Monthly	VERBAL - threats or abuse A few Times a Year	VERBAL - threats or abuse Once a Year	VERBAL - threats or abuse Never

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* 6. How long have you worked in healthcare?

Less than 1 Year

1-2 years

3-5 years

5-10 years

10 years or more

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* 7. In your primary role, are you required to interact with patients and/or visitors?

Yes

Cooper Workplace Safety and Security Survey

Welcome to the Survey!

Question Title

* 1. How likely are you to recommend this organization as a safe place to work to a friend or colleague?

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* 2. How concerned are you about the threat of violence at your workplace?

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* 3. When you feel unsafe at work, how sure are you that you will get help when you need it?

Question Title

* 4. What is the extent to which you agree with each statement?

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* 5. How often have you witnessed or personally experienced violence at your workplace?

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* 6. How long have you worked in healthcare?

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* 7. In your primary role, are you required to interact with patients and/or visitors?